Pharma Carolina

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11125 Issued in NC

Legal business name

PHARMA CAROLINA

Practice address

11100 S Tryon St
Charlotte, NC 28273-4503

Phone

(704) 504-8646

Fax

(704) 504-8012

NPI assigned

Sep 2, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sameer ShahNPI 1720301971

Title

Pharmacist in Charge

Phone

(704) 504-8646

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CareFirst Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sameer Shah

  • Pharmacist
  • Charlotte, NC
  • NPI 1720301971
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1487935474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734503",
            "telephone_number": "704-504-8646",
            "fax_number": "704-504-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734503",
            "telephone_number": "704-504-8646",
            "fax_number": "704-504-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "704-504-8646"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11125",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareFirst Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mimi Lan Pham, PHARMD, MBA, MS
• Oanh Hoang Pham, RPH,MPH
• Thuthao T Pham, PHARMACIST
• Tuan Hoai Pham, M.D., PHD
• Katherine Phan, PHARMD
• Pharmaceutical Specialties Inc
• Pharmacy Corporation of America
• Ashley Danielle Pharr, LCSW
• Bowanna Pharr, LCSWA
• Brianna Pharr, LCMHC

• Community/Retail Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.